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However, it is important to note that the cessation landscape has changed considerably since Best Practices 2007 , with the enactment of Affordable Care Act, the implementation of the Meaningful Use initiative, the widespread adoption of EHRs, the creation of the Centers for Medicare and Medicaid Innovation, the introduction of new voluntary Joint Commission hospital performance measures, the increasing shift to managed care plans in state Medicaid programs, changes in the organization of private health care, and the emphasis on establishing linkages between public health interventions and clinical interventions

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Addiction Research & Theory .